Child Psychiatry and Human Development

, Volume 34, Issue 1, pp 3–17

Factor Analysis of Restricted and Repetitive Behaviors in Autism Using the Autism Diagnostic Interview-R


    • Center for Human GeneticsDuke University Medical Center
  • Yujan Shao
    • Duke University Medical Center
  • Janet Grubber
    • Duke University Medical Center
  • Michael Slifer
    • Duke University Medical Center
  • Chantelle M. Wolpert
    • Duke University Medical Center
  • Shannon L. Donnelly
    • Duke University Medical Center
  • Ruth K. Abramson
    • University of South Carolina
  • Sarah A. Ravan
    • University of South Carolina
  • Harry H. Wright
    • University of South Carolina
  • G. Robert DeLong
    • Duke University Medical Center
  • Margaret A. Pericak-Vance
    • Duke University Medical Center

DOI: 10.1023/A:1025321707947

Cite this article as:
Cuccaro, M.L., Shao, Y., Grubber, J. et al. Child Psychiatry Hum Dev (2003) 34: 3. doi:10.1023/A:1025321707947


The current study examined the factor structure of restricted and repetitive behaviors (RRB) in children with autism. Factor extraction procedures of 12 items from the Autism Diagnostic Interview-Revised (ADI-R) were applied in N = 207 individuals with autism. Two interpretable factors were identified: Factor 1—repetitive sensory motor actions and Factor 2—resistance to change. There was a significant negative correlation between an index of level of adaptive functioning and Factor 1. Intraclass correlations were not significant for either factor in a subset of families with two or more siblings with autism (multiplex). No differences in scores were apparent for either factor when multiplex families and families containing only one affected individual with autism (singleton) were compared. RRB in autism are represented by two distinct factors which may reflect two separate groups within autism. Defining subgroups within autism will allow for reduction of clinical heterogeneity and enhance our ability to dissect the genetic etiology of this complex disorder.

autismrepetitive behaviorsfactor analysis
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© Human Sciences Press, Inc. 2003